Closely monitor patients for signs of dehydration, including hypotension, dizziness, and changes in urine output. Check electrolyte levels – particularly potassium, sodium, and chloride – regularly, especially during initial treatment and after dosage adjustments. Hypokalemia is a common side effect; supplement potassium if necessary, always under medical supervision.
Regularly assess blood pressure and renal function. Furosemide can affect kidney function; reduced urine output may indicate worsening renal impairment. Adjust the dosage based on patient response and lab results. Consider reducing the frequency of administration or lowering the dose if excessive diuresis occurs.
Ototoxicity, although rare, is a serious concern. Monitor for tinnitus, hearing loss, or vertigo. Discontinue furosemide immediately if these symptoms appear. For patients with pre-existing hearing impairment, use caution and start with a lower dose.
Note: Dosage adjustments should always be made under the guidance of a healthcare professional. This information should not replace professional medical advice.
Dosage modifications: Begin with a low dose and titrate upwards based on clinical response, monitoring for efficacy and side effects. Older patients and those with impaired renal function often require lower doses to avoid adverse effects. Adjustments may be necessary depending on the patient’s clinical condition.
Specific Considerations: Patients with diabetes may require monitoring for glucose levels. Those with gout may require additional monitoring for uric acid levels. Always review the patient’s complete medical history before starting furosemide therapy.
